SIPS, short for stomach intestinal pylorus–sparing surgery, is on the uptick around the country and is triggering debate about the boundary between improvement and experimentation.
SIPS is a new technique that is based on a modification of the duodenal switch procedure. Unlike the classic duodenal switch, it consists of a single anastomosis, a longer common channel and a decreased sleeve gastrectomy bougie size (40-44 Fr), leaving 3 m of bowel. SIPS is quite similar to